Obstetrics & Gynecology Pa in Fort Walton Beach - Obstetrics & Gynecology

Obstetrics & Gynecology Pa - NPI 1518975143

Obstetrics & Gynecology Pa is a Obstetrics & Gynecology in Fort Walton Beach, Florida. Obstetrics & Gynecology Pa practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Obstetrics & Gynecology Pa is 1518975143. The last update date is 2010-03-10.

Obstetrics & Gynecology Pa's current location address is 1703 Lewis Turner Blvd, Fort Walton Beach, Florida. You can contact this provider via phone number 8508631000 and fax number 8508630800. The mailing address for Obstetrics & Gynecology Pa is 1703 Lewis Turner Blvd, Fort Walton Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Obstetrics & Gynecology Pa
Address 1703 Lewis Turner Blvd, Fort Walton Beach, Florida
Phone Number 8508631000
Fax Number 8508630800
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHYS
Authorized Official Name Stevens A Kathryn
Credentials MD
Telephone Number 8508631000

NPI Number Detail

NPI Number 1518975143
Provider Enumeration Date 2006-08-03
Last Updated Date 2010-03-10

Provider Mailing Address Detail

Address 1703 Lewis Turner Blvd
City Fort Walton Beach
State Florida (FL)
Post Code 325471221
Phone Number 8508631000
Fax Number 8508630800

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No ME84285
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
264593900 FL --
11131 FL BCBS OF FL

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FAQs about Obstetrics & Gynecology Pa

What is the unique 10-digit identifier code issued to Obstetrics & Gynecology Pa by the Centers for Medicare & Medicaid Services?

The Obstetrics & Gynecology Pa has been assigned the NPI (National Provider Identifier) 1518975143 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Obstetrics & Gynecology Pa is physically located?

The Obstetrics & Gynecology Pa is situated at the following address: 1703 Lewis Turner Blvd, Fort Walton Beach, FL 325471221.

What is Obstetrics & Gynecology Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Obstetrics & Gynecology Pa's specialized field of practice is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this area of specialization is 207V00000X.

On what date did the Obstetrics & Gynecology Pa receive the assignment of its 1518975143 from the Centers for Medicare & Medicaid Services?

The Obstetrics & Gynecology Pa was issued its 1518975143 by the Centers for Medicare & Medicaid Services on 2006-08-03.

When was the information pertaining to Obstetrics & Gynecology Pa most recently updated or revised?

The details related to Obstetrics & Gynecology Pa, including its address, specialty, and other relevant information, were last updated or revised on 2010-03-10.

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